DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MISSOURI CVS PHARMACY, L.L.C.

MEDICARE: MISSOURI CVS PHARMACY, L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WD0400XDiabetes Educator Registered Nurse
2261QM2500XMedical Specialty Clinic/Center
3332B00000XDurable Medical Equipment & Medical Supplies003851MO
4333600000XPharmacy003851MO
53336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12618001OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104852623
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSOURI CVS PHARMACY, L.L.C.
Provider Business Mailing Address
First Line : 1 CVS DRIVE
Second Line : BOX 1075
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 11253 SAINT CHARLES ROCK RD
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2702
Country : US
Telephone Number : 314-738-0235
Fax Number : 314-738-0137
Authorized Official
Title or Position : SR. DIRECTOR, PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 06/25/2006
Last Update Date : 06/10/2020

Similar Medicare Providers

1144706144 — LAKITA A JOHNSON-HOLMES PHARM D
Practice Location Address:
11253 SAINT CHARLES ROCK RD
BRIDGETON, MO
63044-2702
Practice Phone: 314-738-0235
Practice Fax:
1598369233 — AISSA CATHERINE ACELAM PHARM.D
Practice Location Address:
11253 SAINT CHARLES ROCK RD
BRIDGETON, MO
63044-2702
Practice Phone: 314-738-0235
Practice Fax:
1376148387 — DR. NOZHDAR SLIVANY PHARMD
Practice Location Address:
11253 SAINT CHARLES ROCK RD
BRIDGETON, MO
63044-2702
Practice Phone: 314-738-0235
Practice Fax:
1396333274 — JOSEPH IBRAHIM PHARMD
Practice Location Address:
11253 SAINT CHARLES ROCK RD
BRIDGETON, MO
63044-2702
Practice Phone: 314-738-0235
Practice Fax:
1952091787 — DR. JOSHUA BEANE PHARMD
Practice Location Address:
11253 SAINT CHARLES ROCK RD
BRIDGETON, MO
63044-2702
Practice Phone: 314-738-0235
Practice Fax:
1275499626 — BEYOND QUALIFIED HOMECARE LLC
Practice Location Address:
3159 FEE FEE RD STE 227
BRIDGETON, MO
63044-3372
Practice Phone: 314-887-9711
Practice Fax: 314-558-3098

Directions to “MISSOURI CVS PHARMACY, L.L.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.